A 4-year-old boy is recovering from abdominal surgery Blowing bubbles
at the pediatric unit. As the nurse caring for the child,
which of the following activities do you recommend Rationale:
that he prioritize? Letting the child blow bubbles will stimulate lung expansion, preventing
respiratory problems arising from surgery. Following the abdominal surgery,
A. Blowing bubbles respirations are not as efficient because anesthesia hampers it, and it hurts to
B. Peek-a-boo breathe. Consequently, mucus builds up, and the lung may collapse fully or
C. Building blocks partially ( atelectasis). Pneumonia may follow. The collapsed lung may result in
D. Playing with clay dyspnea and respiratory failure and complicate the post-operative recovery.
Therefore, primary health care providers ( PHCP) order incentive spirometers to
reduce the risk of respiratory problems after surgery. However, if the child is
under the age of five or is unable to use the incentive spirometer for another
reason, they should blow bubbles for two to three minutes every hour. Blowing
bubbles will serve as an alternative to incentive spirometry in these children.
7 month old food recommended: Soy-based yogurt
Rationale:
Soy-based yogurt is permitted as it does not contain added sugars and will not
cause intestinal complications, unlike cow's milk products.
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An 8-year-old boy diagnosed with hemophilia A is Bloody vomit
brought into the urgent care clinic for a prolonged
episode of hematemesis. Which of the following Rationale:
describes this symptom? Hematemesis is bloody vomit. This symptom is common with hemophilia and can
lead to severe complications if not treated promptly.
A. Bleeding into the joints
B. Bleeding from the nose
C. Dark, black, tar-like stools
D. Bloody vomit
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A 12-year-old client with chronic asthma exacerbations “I can do this anytime and anywhere when I feel anxious.”
has decided to try guided imagery as a way to manage
anxiety contributing to asthma attacks. Which of the Rationale:
following statements by the client indicates an Guided imagery is a stress-reduction technique that can be done in any place at
understanding of this stress-reduction technique? any time. In fact, this is one of the biggest advantages of this technique. Anytime
the client begins to feel anxious, they can practice guided imagery.
A. “I can do this anytime and anywhere when I feel
anxious.”
B. “I must be lying down to practice guided imagery.”
C. “My mom will have to be with me any time I try this.”
D. “I will play music every time I do my guided imagery to
make sure it works.”
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25-year-old female reports intermittent abdominal Broccoli
pain, bloating, and flatulence that has lasted for several
months. Which of the following would the nurse tell the Rationale:
client to avoid? Broccoli forms gas in the stomach and should be avoided for this client.
A. Fiber
B. Broccoli
C. Yogurt
D. Simple carbohydrates
A 25-year-old is found unconscious with fever and a Blood cultures
noticeable rash. Which of the following tests will most
likely be a priority order? Rationale:
Blood cultures would be ordered to investigate the source of fever and rash.
A. Blood sugar check
B. CT scan
C. Blood cultures
D. Arterial blood gases
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